New statistics from the Centers for Disease Control and Prevention, or CDC, have revealed an alarming rise in suicide rates among U.S. teens and young adults. But experts have good advice that can help you or those around you deal with life-threatening despair.
Oren Miron led the study that mined the new statistics. He’s a data scientist at Harvard Medical School in Boston, Mass. While in high school, the suicide of a classmate made Miron realize “how fragile this age group is.” His friend had not been depressed, but the boy had been bullied.
As an adult, Miron remembered his friend. And he wanted to know how serious the suicide risk had become in high school and college students. A June 2018 CDC report showed the rate of U.S. suicides had climbed some 30 percent between 2000 and 2016. It was now 13.5 people per 100,000. Miron’s team looked at these data, homing in on those for teens and young adults. The team also extended its analysis for an extra year.
By 2017, the researchers found, the suicide rate in mid-to-late teens had climbed to 11.8 per 100,000. That was 3.8 percentage points higher than it had been in 2007. Boys accounted for most of the increase. Their suicide rate was almost 18 per 100,000; among girls it was less than one-third of that — 5.4 per 100,000.
Since 2000, the rate in boys has been much higher than girls and edging further upward. It spiked even more between 2016 and 2017. In just one year, it jumped by more than 3 percentage points among 15- to 19-year-olds. The rise in girls over that year was about 0.5 percentage points. And among 20- to 24-year-olds, the suicide rate for males was 27.1 per 100,000, versus 6.2 per 100,000 in females.
As alarming as these numbers are, they might still be lower than the real rates, Miron and his team write in the June 18 issue of JAMA. Suicides are not always easy to recognize, Miron explains. And what’s driving the troubling trend is currently unknown. It’s something his team plans to investigate in the coming months.
If you know someone in crisis … get them help
Sometimes it’s clear that a teen or young adult is in trouble. Their personality may change suddenly. They may become withdrawn, angrier than usual or seemingly uninterested in much of anything. It’s okay to ask these individuals how they’re doing, says Molly Adrian. She’s a clinical child psychologist at Seattle Children’s Hospital and the University of Washington. It’s important to know if someone is seriously considering harming themselves, she says.
If their answer sounds particularly grim — like they’ve lost all hope of things ever getting better — then go ahead and ask if they have been thinking about suicide. Such a question won’t increase someone’s likelihood of trying to hurt themselves, Adrian says. Studies have shown that’s not likely. And that the benefits of knowing outweigh the risks, she adds. If someone has considered suicide, she says, friends, family or others should immediately try to get this individual some help.
And there is help, Adrian notes. “There are concrete things we can do.”
For instance, Adrian and her colleagues have shown that a type of treatment known as dialectical (Dy-uh-LEK-tih-kul) behavior therapy, or DBT, can help. In DBT, patients get weekly individual therapy sessions. They also go to meetings with a group that helps them learn how to let go of past thoughts and to focus mindfully on the present. They learn how to understand and control their emotions as well, and how to understand their friends and family.
In one study of DBT, Adrian and her team worked at four U.S. centers with kids ages 12 to 18. These 173 youths, mostly girls, had intense thoughts of suicide and at one time had attempted some sort of self-harm. Each was randomly assigned to get one of two types of mental-health treatments for six months. Half got both individual and group conventional therapy. The rest got DBT.
In the six months after DBT training, kids were half as likely to still be seriously suicidal, Adrian’s team found, when compared to teens getting conventional therapy only. The researchers described their results in the August 2018 JAMA Psychiatry.
The idea being taught with DBT, Adrian says, is that “you can talk about and share what’s bothering you.” Some kids have very troubled lives. They can be bullied by their peers or tormented by families. Horrible things may have happened to them or to people close to them. In DBT, no one will dismiss how awful their lives are.
The focus, Adrian says, is to show teens that there is “always hope that they can get beyond this.” People will listen to them, help them learn how to cope with the stress in their lives and teach them to just do the best that they can. The message: Don’t worry about perfection, just get through each day. One. Day. At. A. Time.
And let friends or others help, Adrian adds. If reaching out to a mental-health professional is too hard for someone in crisis, they should let a friend, family member or school counselor do it for them, she says. There are lots of people who are ready to help and want to help. They just need to know who they should reach out to.
Since 2016, suicide has become the second leading cause of death in the United States among people ages 15 to 29, according to the CDC. If you or someone you know is suffering from suicidal thoughts, please seek help. In the United States, you can call the National Suicide Prevention Hotline, 1-800-273-TALK (8255). Or you can text 741-741. Please do not give up hope and do not suffer in silence.
behavior The way something, often a person or other organism, acts towards others, or conducts itself.
Centers for Disease Control and Prevention, or CDC An agency of the U.S. Department of Health and Human Services, CDC is charged with protecting public health and safety by working to control and prevent disease, injury and disabilities. It does this by investigating disease outbreaks, tracking exposures by Americans to infections and toxic chemicals, and regularly surveying diet and other habits among a representative cross-section of all Americans.
clinical (in medicine) A term that refers to diagnoses, treatments or experiments involving people.
colleague Someone who works with another; a co-worker or team member.
concrete To be solid and real.
data Facts and/or statistics collected together for analysis but not necessarily organized in a way that gives them meaning.
high school A designation for grades nine through 12 in the U.S. system of compulsory public education. High-school graduates may apply to colleges for further, advanced education.
peer (noun) Someone who is an equal, based on age, education, status, training or some other features. (verb) To look into something, searching for details.
psychiatry (adj. psychiatric) A field of medicine where doctors study and treat diseases of the human mind. Treatments may consist of talking therapies, prescription drugs or both. People who work in this field are known as psychiatrists.
psychologist A scientist or mental-health professional who studies the human mind, especially in relation to actions and behaviors.
risk The chance or mathematical likelihood that some bad thing might happen. For instance, exposure to radiation poses a risk of cancer. Or the hazard — or peril — itself. (For instance: Among cancer risks that the people faced were radiation and drinking water tainted with arsenic.)
self-harm Intentionally injuring one’s body. Examples may include cutting, scratching or burning oneself. This unhealthy behavior is typically a way this individual attempts to cope with emotional pain. It’s usually not intended as a suicide attempt. Also known as self-injury.
statistics The practice or science of collecting and analyzing numerical data in large quantities and interpreting their meaning. Much of this work involves reducing errors that might be attributable to random variation. A professional who works in this field is called a statistician.
stress (in biology) A factor — such as unusual temperatures, movements, moisture or pollution — that affects the health of a species or ecosystem. (in psychology) A mental, physical, emotional or behavioral reaction to an event or circumstance (stressor) that disturbs a person or animal’s usual state of being or places increased demands on a person or animal; psychological stress can be either positive or negative.
suicidal A mental state in which a person feels a strong impulse to take his or her own life (also known as committing suicide). Warning signs may include talking about wanting to die or about making plans to commit suicide; saying goodbye to people as if this person won’t ever see them again; taking steps to make it possible to commit suicide, such as obtaining a gun or drugs that could cause death; being obsessed with the subject of death or dying; and withdrawing from social contact in a way that is unusual for that person.
therapy (adj. therapeutic) Treatment intended to relieve or heal a disorder.
Journal: O. Miron et al. Suicide rates among adolescents and young adults in the United States, 2000-2017. JAMA. Vol 321, June 18, 2019, p. 2362. doi: 10.1128/MRA.00329-19.
Journal: H. Hedegaard, S.C. Curtin and M. Warner. Suicide rates in the United States continue to increase. NCHS Data Brief #309. June 2018, p. 1.
Journal: E. McCauley et al. Efficacy of dialectical behavior therapy for adolescents at high risk for suicide: A randomized clinical trial. JAMA Psychiatry. Vol. 75, August 2018, p. 777. doi:10.1001/jamapsychiatry.2018.1109.
Journal: A. Winsler et al. Sleepless in Fairfax: The difference one more hour of sleep can make for teen hopelessness, suicidal ideation, and substance use. Journal of Youth and Adolescence. Vol. 44, February 2015, p. 362. doi: 0.1007/s10964-014-0170-3.